J. Barden Fuller, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5960 Issued in CT

Practice address

1090 Meriden Waterbury Turnpike
Suite 2
Plantsville, CT 06479-2055

Phone

(860) 426-0997

Fax

(860) 426-0669

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Essential Dental, LLC

  • General Practice Dentistry
  • Plantsville, CT
  • NPI 1871709725
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1205972163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 MERIDEN-WATERBURY TPKE",
            "address_2": "SUITE 2",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "06479",
            "telephone_number": "860-426-0997",
            "fax_number": "860-426-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 MERIDEN WATERBURY TURNPIKE",
            "address_2": "SUITE 2",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064792055",
            "telephone_number": "860-426-0997",
            "fax_number": "860-426-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "J.",
        "middle_name": "BARDEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "5960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feel Well Health Center of Southington, PC
• Keina Marie Fields-Small, CCC-SLP
• Daniel Simon Flynn, L.C.S.W
• Melanie Ella Fortin, MFT
• Eric Frenette, LPC
• Susan Marie Gagnon, MSW, LCSW
• Nicholas Thomas Gallucci, PH.D.
• Gentle Reflections Counseling and Wellness, LLC
• Agatha Giliberto, APRN
• Carolyn May Gorman, LPC

• General Practice Dentistry in Plantsville, CT
• Providers in Plantsville, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.